Medicare Advantage Risk Adjustment Data Validation Audit Support

HAVE YOU BEEN SELECTED FOR A CMS RADV AUDIT?

For the past ten years we have been providing risk adjustment related services for health plans, including support for responding to CMS Risk Adjustment Validation Audits.  In fact, we are often asked by our Risk Score Accuracy clients to support them during their RADV audits.  Put our experience and expertise to work for you to help you effectively and efficiently complete your response.  Time is of the essence!

  • Data analysis to identify service dates and serving provider that may have supporting documentation for audit sample
  • Medical record acquisition and tracking
  • Chart review by RA experienced, certified medical coders
  • Review results captured electronically, including inaccurate, unsupported conditions with details, and/or additional follow-up
  • Robust reporting, including submission package at detailed sample level
  • Assist in responding to Audit requests and follow-up
  • Support during appeal process as necessary

Contact us today! (504) 315-5998